Nervous & Special Senses pt 3 Flashcards
define WEBER & RINNE TESTS
tuning fork to distinguish between conductive & sensorineural hearing loss to evaluate ability by air conduction compared to bone conduction
define MENTAL STATUS EXAM
screening method assesses appearance, eye contact, consciousness, memory & attention, perception, motor activity, cognitive performance, mood & judgment, sensory deficits, & if patient is danger to self/others
define CEREBRAL ANGIOGRAPHY
xray of vessels in brain after dye injected to diagnose CVA & other injuries/disorders
define MIN-MENTAL STATE EXAM
screening method for cognitive impairment & dementia & examine mental functions (attention, thinking, memory, language, ability to follow commands)
aka: mini-mental state exam
Folstein test
define MYELOGRAM
xray of cord taken after contrast injected in spine
define PSYCHIATRIC REVIEW OF SYSTEMS
helps diagnose mental health conditions by detecting significant issues/recent changes in 9 areas (cognition, psychosis, substance use, mood, neurovegetative, anxiety, eating disorder, violence, & impulse control)
define BABINSKI SIGN
reflex where toes curl upward when plantar of foot stimulated; if in person 2 yrs or older it indicates a brain or nervous disorder
define NERVE CONDUCTION VELOCITY (NCV)
electrodes on surface of body over specific nerves to measure speed where impulses travel thru nerve
define ISHIHARA COLOR VISION TEST
test for color blindness by looking for # in circle made of dots
define TUNING FORK TESTS
ay hearing test w/tuning fork to assess ability to detect different pitches
define PNEUMATIC OTOSCOPY
exam of external ear & tympanic membrane w/pneumatic otoscope to assess reactivity to pressure changes
define OTOSCOPY
visual exam of ear w/otoscope
define OTOSCOPE
tool inspects external auditory canal & tympanic membrane
define PRECISION NERVE EXAMS
group of neurological exams where 5 different kinds of responses evaluated for abnormalities in CNS and/or PNS
describe EXTINCTION (precision nerve exam)
patient sit upright w/eyes closed & DR touches trunk/legs in 1 place then 2 # ask patient to identify spots of sensation; extinction = patient can’t point to 2 different areas in part 2
define GRAPHESTHESIA (precision nerve exam)
patient identify number/letter written on hands w/eyes closed on both hands
define PAIN & LIGHT TOUCH SENSATION (precision nerve exam)
patient supine w/eyes closed & identify objects as sharp or dull
define POSITION SENSE (precision nerve exam)
patient eyes closed & identify whether big toe moved up or down by DR on both feet
define STEREOGNOSIS (precision nerve exam)
patient eyes closed & identify object place in hand & repeat w/different object in other hand
define NEURORRHAPHY
suturing together ends of severed nerves
define HYPNOTIC
drug depress CNS to cause sleep or unconsciousness
define ANTICONVULSANT
drug prevents seizures
define BARBITURATES
drug class for calming or depressing CNS
define SEDATIVE
drug depress CNS to calm & diminish response w/o sleep w/soothing or tranquilizer effect
define ANESTHESIA
absence of normal sensation & pain
define ANESTHETIC
medication to induce anesthesia (topical, local, regional, or general)
define EPIDURAL ANESTHESIA
regional (stop nerve conduction) into epidural space of lumbar/sacral region
define SPINAL ANESTHESIA
regional injection into subarachnoid space so patient is conscious but numb from waist/lower chest down
aka: spinal anesthesia
spinal block
define DEEP BRAIN STIMULATION (DBS)
treatment of dystonia, tremors, & Parkinson’s by stimulating w/mild electrical signals via an implanted device
define STEREOTACTIC RADIOSURGERY (SRS)
use 3D coordinates to find small tumors to minimize damage to good tissue & then special frame to focus precise beams of radiation to treat inoperable cancer
describe GAMMA KNIFE SURGERY
radiation treatment for brain tumors w/o using a knife or incision; an example of stereotactic radiosurgery
define ELECTROCONVULSIVE THERAPY (ECT)
small electric currents pass thru brain causing brief seizures/convulsions to reverse symptoms & change brain chemistry to improve motor function in Parkinson’s patients & treat severe depression
aka: electroconvulsive therapy
electroshock therapy
define LOBECTOMY
surgical removal of part of brain to treat cancer or seizure
define THALAMOTOMY
surgical incision into thalamus to destroy the cells & quiet tremors of Parkinson’s
define TRANSCRANIAL MAGNETIC STIMULATION (TMS)
brief, powerful electromagnetic pulses alter pathways to treat severe depression, Parkinson’s, & other conditions
define RADIOFREQUENCY ABLATION (REA)
minimally invasive procedure that burns nerves to prevent pain signal transmission to treat chronic & arthritic pain
aka: radiofrequency ablation
rhizotomy